Frequently Asked Questions


What Should I Bring to My First Appointment?

We ask that you bring a pair of shorts and a tank top to your first appointment.  This allows us to check your area of pain and any other sites that may be contributing to that pain.

Also feel free to bring any Diagnostic Imaging Reports (MRI's, Ultrasound or X Rays) that may have been provided by your family physician.

Do I Need a Doctor's Referral to see a Physiotherapist?

No. Physiotherapists are Primary Care Health Providers and as such are trained to be the first point of contact in your Rehabilitation and Health Care journey.  Some Insurance companies may require a Doctor's Referral for re-imbursement from your Extended Health Benefits. In Markham, we want to help you get back to your activities. Physiotherapy can do that!

Do You Bill my Extended Health Benefits Directly?

Yes.  We can currently bill most Major Extended Health Benefit providers.   You are required to pay for the portion that is not covered by your plan. If your provider is not accepted, you are required to pay and submit your Invoice to your provider for re-imbursement. We take different types of payments (Visa, MasterCard, AmEx, Debit).  A receipt and invoice will be provided to submit to your Extended Health Care Insurance Provider.  

Come see us for Physiotherapy in Markham.  You'll notice the difference in the level of care that we provide.  We genuinely want you to return to the activities you love!  Book by pressing the button below.  If you can't find a time that suits your schedule, give us a call (905) 471-8200.

Questions About Pelvic health physiotherapy


What should I expect for my first appointment?

  • Bring or wear loose, comfortable clothing.  
  • Any diagnostic imaging results or specialist investigations (urodynamic exams or urinalysis)
  • There will be time prior to the assessment to ask the therapist any questions about benefits, risks and alternatives to pelvic physiotherapy
  • You will be asked to undress from the waist down for the internal component (if applicable), but you will be draped to ensure comfort

Can I bring my baby with me?

Mothers may bring babies in a stroller or  car seat if needed.  Assessment and treatment are performed in a private room.

What is the purpose of an internal exam?

  • The purpose of the internal exam is to directly assess the tissues of the pelvic floor for length, tension, strength and function. This is the gold standard to identify tissues that may be contributing to pelvic symptoms. 
  • Ensure proper performance of kegel strengthening exercises; verbal instruction by a therapist alone is not enough to ensure proper performance and muscle recruitment.

Is an internal examination always required?

The need for an internal examination is determined on a case-by-case basis. Alternatives to an internal examination can include observation of the pelvic region and/or palpation over the abdomen. However, these options may result in a longer treatment plan and slower progress.

Why are there different fees for pelvic health physiotherapy?

Pelvic health services cost slightly more than orthopaedic/sports medicine ones as this is a highly specialized service. All therapists performing pelvic health have advanced training in the assessment, diagnosis and treatment of female and male pelvic pain. 

Do I need a doctor's referral to see a pelvic health physiotherapist?

No. All registered physiotherapists are primary care practitioners, which means that they do not need a physician's referral to see a patient. 

To be 'registered', one must be licensed by the Ontario College of Physiotherapists. All pelvic health physiotherapists at The Physio Spot are registered, and are therefore qualified to assess and treat any individual without having first seen a physician. The physiotherapist may then refer the patient to a physician if they feel a medical opinion is required.